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Lumbar or Lumbar Rib Pad for CTLSO or Scoliosis Orthosis

West Virginia rates for HCPCS L1040

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar or lumbar rib pad

Rates data updated October 2026.

How much does Lumbar or Lumbar Rib Pad for CTLSO or Scoliosis Orthosis cost?

$48.98

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $66.07 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$48.98$48.98 to $66.07
FacilityA hospital or hospital-owned outpatient department$66.07$66.07 to $102

How much rates vary

Facilitymedian $66 · 10th to 90th $59 to $158Professionalmedian $49 · 10th to 90th $46 to $105
$50$100$200$500facility $66professional $49

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$48.98
Typical High
$48.98
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.24
Median
$7.24
Typical High
$7.24
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.79
Median
$4.79
Typical High
$4.79
CareSource
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
CareSource
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$138.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$66.07
Typical High
$158.49
Cigna
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$489.78
United
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$58.88
Typical High
$102.33
United
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$53.70
Typical High
$104.71

Where West Virginia sits

The same service costs 3.4 times more in Hawaii than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 47th of 51

$48.98

HI $166VT $48.98

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.